Sinus Pain, Sinusitis, and the Migraine Syndrome

'I am worn out. I'm not worth much today. I cannot seem to get it together. This spot on my sinus is hurting again and I cannot breathe through my nostril. The smell of her perfume is getting to me. Wow, I sure could use a break from these fluorescent lights. Now my sinuses are throbbing. Finally, it's time to go home. I know it's dinner time, but I really don't feel like eating. I wonder if I will need to go to the doctor again and take another round of antibiotics. I hate that, because I always have to treat the yeast infection that follows.'

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Sinusitis and antibiotics do not go hand in hand if: - sinusitis is caused by viruses and infections other than bacteria - bacterial sinusitis produce only minor symptoms - the patient is allergic to antibiotics - the patient has other conditions aside from sinusitis that may be negatively affected by antibiotics - the bacteria causing sinusitis is resistant to antibiotics

This person falls into the migraine syndrome profile. Let me explain what I mean by the migraine syndrome. It is the outward expression of the body's sensitivity to light, sound, smell, food, and/or stress. Some people are more sensitive than others; therefore, their reactions to different stimuli are greater. This sensitivity can be manifested in the body as migraines, sinus headaches, neck aches, palpitations, irritable bowel syndrome, motion sickness or vertigo, reactive hypoglycemia, temporomandibular joint syndrome (TMJ), panic attacks, and/or fibromyalgia. Now that's a mouthful! Understanding what is going on with you is very important in the healing process.

- There are different types of antibiotics available. You need to be aware of them so that you can choose which medication will work best for the type of infection you have, and for your personal lifestyle.

It is said that 80% of the population has a deviated septum to some degree. There are about 300,000 sinus operations performed each year in the U.S., and a good number of these are to fix a deviated septum. I'm sure that some of these have cured sinusitis in a number of people, but personally I've never met anyone who has said the operation 'worked' for them. Another downside to this operation is that surgeons will sometimes also cut out some of the turbinates in the nose to help clear the nasal cavities and ostensibly make drainage easier. In the past it was felt that removing some or most of the turbinates had no harmful effects. Surgeons and especially patients who have had this done are now finding out that this can be a catastrophic after about 5 years or so. The condition is now referred to as ENS, or Empty Nose Syndrome. This condition is irreversible, since the turbinate and cilia-bearing tissue which has been cut away cannot grow back or be transplanted from elsewhere in the body. If your mucosal/cilia system ceases to function, you are in big trouble. In extreme cases some patients with ENS were so miserable and depressed with their lives that they committed suicide!!

Regrettably this presentation of migraine usually receives a prescription of antibiotics rather than appropriate care. Just as bad, the patient gives up on seeking medical care and resorts to self-medicating which can lead to complications, such as, rebound headaches or chronic daily headaches. Proper diagnosis is essential to beginning appropriate care. Unfortunately many patients have even had multiple sinus surgeries without success. I am pleased to report that the efforts of headache experts are starting to be realized. I have found ENT surgeons in my area of the country are now more aware of migraines presentations and are more alert to recommend their patients to receive appropriate care.

o Intravenous antibiotics are taken by patients who need the most immediate help with their sinusitis. The medication is administered directly into the veins to work on the infection instantly. Alternately, oral antibiotics are the most commonly used. Nasal sprays and nebulizers provide other options for applying antibiotics for sinusitis. These allow for antibiotics to be taken to the source of your sinusitis by inhaling the medicine through the mouth or nose.

Please visit our website Sinusitis and Antibiotics for further information. For other inquiries and services please visit Sinus Dynamics

Aside from those mentioned sinusitis factors above, take a look at the following considerations: - There are a lot of doctors who give out antibiotics even if patients do not necessarily need them. These are doctors who would like to offer precautionary or preventive measures for their patients. But these doctors seem to have become too comfortable in handing out antibiotic medications, to the point where antibiotic-resistant bacteria are given the chance to develop at an increasing rate. It is actually better to hold off on taking antibiotics for sinusitis until you are absolutely sure that you need this type of medication.

Since no air can pass through the nostrils for the week or so that the packing is in place, things like eating became a challenge. You cannot eat and breathe at the same time, so small bites and lots of soups and other liquids are favored. The splints were awful. When I tried to lie down normally in bed, the pressure on either side was very painful, and I couldn't sleep normally. My doctor suggested I get a Lazy Boy chair which reclined somewhat and sleep on that. In fact I did this, but sleep was difficult, and it was a long week.

Another way that you can catch this type of sinusitis is through dental problems that can in the long run affect your maxillary sinus and in the end make sinusitis real. For people who have diabetes or other health conditions which harm the immune system such as AIDS, can catch this infection through fungal invasion which also takes place in the respiratory tract. All these situations always end up causing inflammation of the body sinuses.

Normally I would be willing to suffer for a while in order to 'fix' whatever problem was being addressed once and for all. The problem with operations for a deviated septum is that oftentimes it simply does not work for very long and people continue to come down with sinus infections after about six months or so. That is exactly what happened to me, and then I also had a second sinus operation, by a different surgeon, about 18 months after the first. He told me my septum had been straightened out, so there must have been other things causing my sinusitis. In other words, all the pain I went through the first time was for nothing.

o Narrow-spectrum antibiotics target a specific bacterial infection. These are recommended for those sufferers who took the time with their doctors to find out about their particular infections. Broad-spectrum antibiotics in turn are used by patients who would like to target a variety of bacteria with just one type of medication.

The first of my two sinus operations was to correct a deviated septum. The operation, or more precisely, the post-operative recovery period, was very painful. I had splints in my nose to help support it since the septum had been rebuilt, and my nose was 'packed'. This means that a large amount of gauze was pressed into the nose to stop bleeding.

Although having acute sinusitis always causes discomfort, the condition usually does not take long for it to clear up. It is believed that the body immune system is strong enough to fight the infection on its own and only requires a few days for it to clear this condition. However, if the infection takes longer for it to come to an end, seeking a doctor's advice is always the best option. During diagnosis, the doctor is usually able to distinguish between the various causes of acute sinusitis by mixing the patients rhinosinusitis (watery fluids that usually drains out of the nose when one has acute sinusitis) with a Gram stain. For viral acute sinusitis, the bacteria present in the nasal fluid are often seen in association with several clusters of epithelial cells while in bacterial acute sinusitis, the bacteria will be seen admixed with polymophonuclear leocucytes. After determining this, the doctor will be in a better position to prescribe a proper course of treatment that could end this problem for you. The treatment may involve the use of antibiotics Amoxillin being the most preferred type when the main causes are the bacteria. Other therapeutic measures including drainage of the affected sinuses can also be administered to the patient in order to get relieve from the sinusitis problem.

"every morning i had a green discharge from my nose. i felt so tired, i couldn't even go to work. i just felt so desparate. after just 4 days on sinuvil i felt like a brand new person." Nick from NY

Even as doctors continue to prescribe antibiotics for sinusitis, do not assume that sinusitis and antibiotics should automatically be matched together. There are a lot of cases nowadays where antibiotics are given to eliminate just about any kind of infection. In truth, too many of these cases do not need antibiotics at all.

The most probable cause of acute sinusitis is the common cold virus although other triggers such as bacteria and allergies can also play a role in causing this problem. Usually, viruses that are situated inside the tract get to infect and damage its surface tissues and afterwards, bacteria that are also found in the same respiratory tract such as Streptococcus pneumoniae and Haemophilus influenzae invade and colonize the cells of these damaged surface tissues. When the infection is purely viral, then it will classically be seen as a slight mucoperiostal thickening while when it is purely bacterial, a presence of air fluid will be noticed with one sinus appearing to be affected more severely than the other.

J. Wes Tanner, MD, is a family practice and headache specialist who has been treating people for over 30 years. He has extensive experience in treating migraines and fibromyalgia with excellent success. In Doctor, Why Do I Feel This Way?, Dr. Tanner exposes the secrets and myths about fibromyalgia and the migraine syndrome. To find out more, go to http://www.migrainesyndrome.net.

Actually it was only about 5 days, as I begged my doctor to take out the splints and packing because the pain was so bad. One reason for this was that I had developed an infection as a result of the surgery and then had to deal with that as well. As for taking out the packing gauze, my surgeon said 'This will feel like I'm pulling your brains out through your nose'. He was right.

Sinusitis and antibiotics are good together only if sinusitis is caused by bacteria, and: - sinusitis symptoms are severe - sinusitis symptoms last for more than a few weeks - sinusitis symptoms keep coming back - antibiotics are chosen wisely - the bacteria causing sinusitis is not resistant to antibiotics

In addition to the medicinal treatment, home remedies such as drinking of hot liquids including hot tea or hot chicken soup can help treat acute sinusitis. These liquids are supposed to be taken throughout the day for them to help moisturize your cilia (little hairs that are found on the cells inside the nostrils that help wash away excess mucus from the air passages) something that will enhance its movement to increase and in the process, clear the mucus in the nostrils and ultimately, ending the infection. Something to note though is that, for both these treatment approaches (medicinal and home remedies) to work effectively, discipline when administering the treatment is needed. This includes following the doctor's instructions on the part of the medicinal part.

- There are patients who expect to be prescribed with antibiotics. The medicine's great healing effects have caused antibiotics to become a popular choice for getting rid of infection. But as outlined above, there are various factors to consider before choosing a treatment program, particularly one that includes a medication like antibiotics. Misuse of antibiotics will only result to the medicine's ineffectiveness and may also worsen your sinusitis.

Walt Ballenberger is founder of http://www.postnasaldrip.net a resource web site for sinusitis sufferers like himself. For a free report entitled 'Sinus Treatment Success Stories', visit http://www.postnasaldrip.net and click on the Free Report link. This resource can be of significant help to chronic sinus sufferers.

If your ENT specialist is recommending surgery to fix your deviated septum, I would recommend caution and skepticism. You need to educate yourself thoroughly and understand precisely what tissue will be cut or more importantly removed from your nose. Don't just trust the word of someone else, even if he is a specialist. Learn about new operations being developed, like sinuplasty, and the research that is going on with antifungal therapy. This treatment is not widespread as yet since it is new, but you may not need to correct your deviated septum. Remember, your deviated septum has probably been there for years before your sinus problems became an issue, so maybe that isn't the real cause of your problems. In any event, don't let a surgeon cut out your turbinates or mucosal tissue. If you need convincing about that issue, just go to the web site of the ENS Symposium and read some forum entries by people who have had this done to them.

I'm sure my first and second surgeons meant well and thought they were helping me by recommending surgery for a deviated septum and for other reasons. The fact is, however, that the operations simply didn't produce good results, as I kept coming down with sinus infections not long after both of them. What has helped me since then is pulsating sinus irrigation, and I have addressed that in other articles.

In determining whether your sinusitis can use a dose of antibiotics, first and foremost, you should have a good understanding of your sinusitis condition. Getting to know the root of your problem is a good start in reaching a solution for it. So focus on your present condition before moving on to any treatment option.

Again, sinusitis and antibiotics do not necessarily go hand in hand. Use the provided guidelines and information above in learning when and when not to use antibiotics for your sinusitis.

Some people are lucky and respond well to standard treatments and medication. Many people, myself included, have tried all the standard treatments, medications and even operations, and still keep coming down with sinus infections. Something else is obviously in the mix.

Acute sinusitis is one form of sinusitis that can attack a person. Sinusitis is a health condition which involves the inflammation of sinuses and their surrounding air pathways. This causes the lining covering the surfaces of these sinuses to swell up and cause an air blockage in the nostrils which results into the air not reaching the sinuses in the process. However, for acute sinusitis, inflammation does not only make the surface tissues to swell but also let fluid in the sinus cavities to accumulate and end up interfering with the normal drainage of mucus inside the sinuses hence causing a nasal congestion. This usually leads to the patient having problems with the breathing process. Other symptoms that accompany this type of sinusitis include feeling throbbing pains moving across your face as you try to lean forward, fever, frequent headaches and constant nagging coughs.

Therein lies the problem. There are many reasons for the onset of sinus infections. There could be allergies, yeast infections causing candida, blockage by polyps, rhinitis or chronic rhinitis, etc. Ongoing research is looking at other causes as well, and new treatments such as antifungal therapy are being developed, along with new medications to implement them. There are also new and less invasive operations being done, like sinuplasty.

Wangeci Kinyanjui is an expert on research and reporting on Health Matters for years.To get more information on acute sinusitis visit her site at ACUTE SINUSITIS

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